Provider Demographics
NPI:1720223720
Name:GLOBAL LEADERSHIP ACADEMY CHARTER SCHOOL
Entity Type:Organization
Organization Name:GLOBAL LEADERSHIP ACADEMY CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON-BOOKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-477-6672
Mailing Address - Street 1:5151 WARREN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-4441
Mailing Address - Country:US
Mailing Address - Phone:215-477-6672
Mailing Address - Fax:215-477-6674
Practice Address - Street 1:5151 WARREN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-4441
Practice Address - Country:US
Practice Address - Phone:215-477-6672
Practice Address - Fax:215-477-6674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)